Exploring Dynamics in Post-stroke Motor Rehabilitation: A Systematic Review of Implementation Barriers and Facilitators using the COM-B Model.
Purpose: This systematic review aimed to identify barriers and facilitators in post-stroke motor rehabilitation across patient, caregiver, and healthcare professional levels, employing the capability, opportunity, motivation, behavior (COM-B) model and the theoretical domains framework (TDF). Materi...
| Publicado en: | NeuroRehabilitation Vol. 57; no. 1; pp. 14 - 28 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187593342&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187593342 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Aug2025 vid: 57 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 187593342 185115160 187593342 187593342 10.1177/10538135251335126 187593342 ppf: 14 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Exploring Dynamics in Post-stroke Motor Rehabilitation: A Systematic Review of Implementation Barriers and Facilitators using the COM-B Model. aug: au: Yang, Chang Li, Changxiu Chen, Wei Lin, Jian He, Yunsi Zhang, Qi affil: School of Nursing, Sun Yat Sen University, Guangzhou, Guangdong, China sug: subj: Stroke Rehabilitation Motor Skills Health Services Accessibility Models, Theoretical Conceptual Framework Human Systematic Review PubMed Embase Cochrane Library CINAHL Database Checklists Funding Source Motor Skills Disorders Cognition Disorders Support, Social Motivation Patient Education Telerehabilitation Caregivers Psychosocial Factors Health Personnel Psychosocial Factors Stroke Patients Psychosocial Factors ab: Purpose: This systematic review aimed to identify barriers and facilitators in post-stroke motor rehabilitation across patient, caregiver, and healthcare professional levels, employing the capability, opportunity, motivation, behavior (COM-B) model and the theoretical domains framework (TDF). Materials and Methods: A systematic search of PubMed, EMBASE, Cochrane Library, Web of Science, and CINAHL, following PRISMA guidelines, covered literature until January 20, 2025. Studies reporting qualitative, quantitative, or mixed-methods data on post-stroke motor rehabilitation barriers and facilitators were included. Quality assessment utilized MMAT 2018. Results: Analyzing 48 studies, we found that barriers to post-stroke motor rehabilitation encompassed motor impairments, cognitive issues, resource scarcity, and environmental factors, while facilitators included good physical abilities, resource accessibility, and social support. The COM-B model elucidated the dynamic interplay between capability, opportunity, and motivation, suggesting educational interventions and telerehabilitation as avenues for improvement. Conclusion: This systematic review, guided by the COM-B model, identifies key barriers and facilitators in post-stroke motor rehabilitation. It emphasizes the importance of targeted education, improved telerehabilitation infrastructure, and robust social support systems to address multifaceted challenges. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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